E-cigarette marketing exposure and combustible tobacco use among adolescents in the United States |
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| Affiliation: | 1. Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL 33199, USA;2. Center for Research on U.S. Latino HIV/AIDS and Drug Abuse [CRUSADA], Florida International University, Miami, FL 33199, USA;3. Jackson South Community Hospital, Miami, FL 33176, USA;4. School of Social Work, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL 33199, USA;1. Department of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada;2. Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada;3. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States;4. Department of Psychiatry, Annenberg School for Communication, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, United States;5. Department of Psychiatry and Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, United States;6. Department of Psychiatry, Department of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada;1. Center for Alcohol and Addiction Studies, Brown University, USA;2. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, USA;1. University of Southern California Keck School of Medicine, United States;2. Miami University, United States |
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| Abstract: | E-cigarette advertising has been shown to be associated with use of e-cigarettes, but its association with tobacco use has not been studied. Therefore, we examined the association between e-cigarettes advertisement and tobacco use. Data from nationally representative 22,007 middle and high school students (grades 6–12) were used to conduct the analysis. Logistic regression models estimated the adjusted odds ratios (AOR) of ever and current use of cigarette, hookah, cigar, and polytobacco use. Odds ratios were weighted and adjusted for study design, non-response rates, school level, gender, race/ethnicity, e-cigarette use, and smoking at home. E-cigarette marketing exposure was significantly associated with ever use of cigarettes (AOR: 1.3, 95% CI: 1.1–1.5), hookah (AOR: 1.4, 95% CI: 1.2–1.7), cigars (AOR: 1.5, 95% CI: 1.4–1.6), and polytobacco (AOR: 1.7, 95% CI: 1.5–1.8). Likewise, E-cigarette marketing exposure was significantly associated with current use of cigarettes (AOR: 1.3, 95% CI: 1.1–1.6), hookah (AOR: 1.3, 95% CI: 1.03–1.7), cigars (AOR: 1.3, 95% CI: 1.1–1.6), and polytobacco use (AOR: 1.8, 95% CI: 1.5–2.1). The results suggest that e-cigarette advertisement is associated with use of cigarettes, hookah, cigars, and polytobacco products. These results add to the evidence about the risks of e-cigarette marketing and highlight the need for stricter regulation of e-cigarette advertisements. |
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